Hernandez, Richard
Hernandez, Richard is an individual health care provider with primary practice located at 6100 Minton Rd Nw Ste 104 , Palm Bay FL 32907-1900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hernandez, Richard can be contacted via phone (321) 724-1172.Contact Information
Primary practice address
6100 Minton Rd Nw Ste 104
Palm Bay FL 32907-1900
Phone: (321) 724-1172
Fax: (321) 984-7695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME58637 | Florida |
Profile Details
| NPI number | 1194701540 |
|---|---|
| LBN Legal business name | Hernandez, Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Oct 4th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194701540 | NPPES |
| Florida | MEDICAID | 252234900 |
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